针对正在萌出的恒磨牙上患有活动性非龋性咬合面病变儿童的标准化治疗方案的有效性。
Effectiveness of a standardized treatment protocol for children with active non-cavitated occlusal lesions on erupting permanent molars.
作者信息
de Oliveira Renata Schlesner, Zenkner Júlio Eduardo do Amaral, Maltz Marisa, Rodrigues Jonas Almeida
机构信息
Department of Pediatric Dentistry, School of Dentistry, Federal University of Rio Grande do Sul, Porto Alegre, Brazil.
Faculdade da Serra Gaúcha, Caxias do Sul, Rio Grande do Sul, Brazil.
出版信息
Int J Paediatr Dent. 2015 Nov;25(6):393-8. doi: 10.1111/ipd.12141. Epub 2014 Oct 18.
OBJECTIVE
To evaluate the effectiveness of a treatment for non-cavitated occlusal lesions on erupting permanent molars and to verify whether initial eruption stage and final biofilm accumulation are associated with lesions activity after the treatment.
METHODS
Forty-eight patients aged from 5 to 13 years old were selected. Molars with active non-cavitated lesions on the occlusal surface were classified according to eruption stage. Patients received a treatment for 4 weeks based on oral health instructions and fluoride applications. Three weeks after the end of the treatment, 39 patients were reassessed and lesion activity status and biofilm accumulation were recorded. Odds ratios were obtained using generalized estimating equations with logistic link function.
RESULTS
Partially erupted molars were more prone to remain caries-active than molars in full occlusion (E1: OR = 301.1; E2: OR = 49.0 and E3: OR = 1107.3). High biofilm accumulation was associated with the presence of active lesions.
CONCLUSIONS
Biofilm accumulation and eruption stage strongly influenced the effectiveness of a treatment for dental caries.
目的
评估一种针对正在萌出的恒牙非龋性咬合面病变的治疗效果，并验证初始萌出阶段和最终生物膜堆积是否与治疗后病变的活性相关。
方法
选取48例年龄在5至13岁的患者。根据萌出阶段对咬合面有活动性非龋性病变的磨牙进行分类。患者基于口腔卫生指导和氟化物应用接受为期4周的治疗。治疗结束3周后，对39例患者进行重新评估，并记录病变活性状态和生物膜堆积情况。使用具有逻辑链接函数的广义估计方程获得比值比。
结果
部分萌出的磨牙比完全咬合的磨牙更易保持龋病活跃（E1：比值比 = 301.1；E2：比值比 = 49.0；E3：比值比 = 1107.3）。生物膜高度堆积与活动性病变的存在相关。
结论
生物膜堆积和萌出阶段强烈影响龋齿治疗的效果。
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